J Korean Neurosurg Soc.  2010 Jan;47(1):48-50. 10.3340/jkns.2010.47.1.48.

Spontaneous Intracranial Hypotension Secondary to Lumbar Disc Herniation

• Kim KT
• Kim YB

• KMID: 1495089
• DOI: http://doi.org/10.3340/jkns.2010.47.1.48

Abstract

Spontaneous intracranial hypotension is often idiopathic. We report on a patient presenting with symptomatic intracranial hypotension and pain radiating to the right leg caused by a transdural lumbar disc herniation. Magnetic resonance (MR) imaging of the brain revealed classic signs of intracranial hypotension, and an additional spinal MR confirmed a lumbar transdural herniated disc as the cause. The patient was treated with a partial hemilaminectomy and discectomy. We were able to find the source of cerebrospinal fluid leak, and packed it with epidural glue and gelfoam. Postoperatively, the patient's headache and log radiating pain resolved and there was no neurological deficit. Thus, in this case, lumbar disc herniation may have been a cause of spontaneous intracranial hypotension.

Keyword

Spontaneous intracranial hypotension; Orthostatic headache; Lumbar disc herniation

MeSH Terms

Adhesives
Brain
Cerebrospinal Fluid Rhinorrhea
Diskectomy
Gelatin Sponge, Absorbable
Headache
Humans
Intervertebral Disc Displacement
Intracranial Hypotension
Leg
Magnetic Resonance Spectroscopy
Adhesives
Cerebrospinal Fluid Rhinorrhea